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HomeMy WebLinkAboutFrey '®"uFFOc/0 ELIZABETH A.NEVILLE ,t'°�®� ®�if�; Town Hall, 53095 Main Road TOWN CLERK p _ P.O. Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ::1445. 47? Fax(516) 765-1823 MARRIAGE OFFICER =4 ®���� Telephone(516) 765-1800 e*.RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER 1 ,���� • � OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3759-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner FREY, ROBERT H. Mailing Address 1 P. O. BOX 320 Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 400 WINDJAMMER DRIVE Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-765-5251 Tax Map No. section 79.00 block Li lot 8.000 Cross Street ANCHOR LANE Issue Date: 2/11/98 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 2 .. „,„, OFFICE OF THJNØERK OWCLs 7 TOWN OF LD Off t Q V Application No. 3757 ELIZABETH A.NEVILLE,TOWN CLERK ' -;r1"� •=•, $10.00 - Residential 1.--v- P.O. P.O.BOX 1179 n ' U' f'. • -,,r,. . hti •' $25.00 - Non-Residential SOUTHOLI),NEW YORK 11971 ‘...:01 .• �1�•• Telephone • 4,,,,,,,,t%, (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • • DATE 9 ? w OWNER NAME: Poat?-k-,-- f'/. FR OWNER MAILING ADDRESS: p- ,0. a_,,,< D.._,.) Sore-r-ki® Ay ta71- 3_ OWNER PROPERTY ADDRESS: /At) (i)jAJ1 -4/141C/e be-) lie. c 'r7-/'Lb ,,lY/ f297/ OWNER TELEPHONE NUMBER: es ) ',S S-- -S---) TAX MAP NO. : Section LO79 Block 0-1 Lot CROSS STREET: h-)p(}-1q A./4)/JE TYPE OF SYSTEM: Septic Tank New Existing Cesspool New Existing Residential Non-Residential LOCATION MAP: Must be attached hereto before permit may be issued. (Locate building and system; give north arrow and feet /, I of distance, approximately, to building and closest road.) f �' Signature of Ap -rant RECEIVED BY: T Cler 's Office DATE: �— gwnr 3 / ' Qvoti, `� / II... C� / p„ �� �, 4,....,:s j s0s sy o ��p f�pi \ svo /..-.. Os" s 2 �L �0//„,•S/O"",fr "' 'c 03/O F �sf(7, • „ ° .P,. f r? c' 1, Cpl/2 °o oal 14601°EOk �I AoY m'13/ 643g q/. 00.4 al. lee'N ,. r-_ 7�e, 163 �� �_A�Ioh .• r1''mi_ 2 STORY /• "sY \ "\(�•o / FRAME MWSE / ...._.../ \•/ % ekl 1 8 GARAGE m �/� ©CP . Ji • Cr •' • 5CNC„O2• wI}�,�61 -169, ,',_4 30/ °I'441,.-'Z". w, W en' 12.7`17'9 <\ /�tw 500, ; w - `'ss 7/ , / 4,• 640 /Q moi ^ !fof \ ' op 6V ^�^^` ` Ha` . •" . NNO•..... \,, N 173,^^ \`3 `\ '00 00. 0 ,O° Og ^ '9 `�` ,49/ �00 ...---- /d• /3 \ ^� �N " WN , 3 ,� 'c �•-..,----"z-,.... 1Y, ap 8 y0 A1 8, \. `N N rH \ 0°6554 � 4:/ . G w s 5 �I�f E 4 \ - : r =, • 0 •J o, 2�S Q �i9�/ 00" 'h 4,,t` s ti cc'sfpfPs yr !pr s--cf p // i ,, Io a i '"'"12F IJAN 24, 1990 i MAY 14 ,1987 FEB. 29,I'fl54- t�EV I SELL I FE[3 22,1984 f .. . SURVEY FOR ROBERT H FREY a H/LDEGARD FREY LOT NO /0 , '" HARBOR L/GHTS ESTATES, SECTION / " AT BAYV/EW DATE OCT 7, /983 TOWN OF SOUTHOLD SCALE / „ = 40 • SUFFOLK COUNTY, NEW YORK NO 83 -800 R UNAUTHORIZED ALTERATION OR ADDITION TO THIS GUARANTEED TO' SURVEY IS A VIOLATION OF SECTION 7209 OF THE LONG IS r E CORP NEW YORK STATE EDUCATION LAW !� AI COPIES OF THIS SURVEY NOT BEARING THE LAND , ,< ,(')F VI "1)".SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL �[� t�, ib NOT BE CONSIDERED TO BE A VALID TRUE COPY VY ,,rr+�� K GUARANTEES INDICATED HEREON SHALL RUN ONLY TO • QP HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED S L, l' AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- *, O y14%0%, 1" y(•N NEAREST WATER MAIN_MI • SSOURCE Of WATER,PRIVATE W PUBLIC MENTAL AGENCY AND LENDING INSTITUTION LISTED ,„ G> K SLIF CO TAX MAP DIST ' SECTION 1 BLOCK o4 LOT ol3 HEREON,AND TO THE ASSIGNEES OF THE LENDING ” 4,„ 'Y, *THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION TIONA LUARANTEE ARE OR NOTB TRANSFERABLE F .,,•*R, OTHER THAN THOSE SHOWN HEREON Q5.,., /-•• K THE WATER SUPPLY ANO SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS f1 V"•. WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT N DISTANCES SHOWN HEREON FROM PROPERTY LINES L�,`•,,•:;'`7C j1'' Pi OF HEALTH SERVICES TO EX IS TING STRUCTURES ARE FOR A SPECIFIC ` ,, .����• APPLICANT. a PURPOSE AND ARE NOT TO BE USED TO ESTABLISH 1-�IC"/ 1'''''. PROPERTY LINES OR FOR TME ERECTION Cf FENCES /7iY•� AOOR E SS TEL / '1- YOUNG a YOUNG 4000STRANDER AVENUE w,' 1 6 V v V' `>v RIVERHEAD, NEW YORK 4,:'t, GSE ■ = MONUMEPIT SET 4i - ALDEN W YOUNG,PROFESSIONAL ENGINEER 508011/1510NMAPFILED/N l4EOFF7CE OF THE CLERK OF 4,.',7 ''' ?ND LAND SURVEYOR NYS UCENSE NO 12845 SUFFOLK COUNTY ON JUNE 8, 1965 A5 F/LE NO 4362 ' HOWARD W YOUNG, LAND SURVEYOR •"+7E-x-ATTOI co,WLLL(W),SEPnc TANKISTIB CESSPOOLS(CP)SHOWN HEREON -'T' N Y S LICENSE NO 45893 NE 'SON FIELD O*SERW•ION! ANC OA DATA OITA/MED FROM O,NERS